On postpartum day 3 a client who is bottle-feeding complains that her breasts are filling with milk and are starting to hurt. What would be an appropriate nursing action?
a. Call the physician to request a medication order for Parlodel.
b. Recommend that the client place ice packs on the sides of her breasts under the axilla.
c. Show the client how to use a breast pump to remove milk.
d. Suggest the client soothe breasts under a warm relaxing shower.
B
Ice packs will help decrease breast stimulation and decrease engorgement. Calling the physician to request a medication order for Parlodel is not an appropriate action for the nurse. Acetaminophen would be a medication choice at this time. Showing the client how to use a breast pump to remove milk would increase breast stimulation, engorgement, and pain. Suggesting that the client soothe breasts under a warm relaxing shower will stimulate milk production and engorgement through vascular dilation.
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